| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $55.07 | $74.34 | $375.70 | |
Aetna
| Professional | $53.14 | $55.08 | $91.59 | |
BCBS
| Professional | $54.00 | $54.00 | $54.00 | |
Cigna
| Facility | $55.08 | $55.08 | $55.08 | |
Cigna
| Professional | $51.10 | $55.08 | $55.08 | |
United
| Professional | $54.00 | $54.00 | $54.00 |